Individual
MS. BETHANY HERTOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 E VERMONT ST, STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
Mailing address
429 E VERMONT ST, STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28170125A
IN
Other
Enumeration date
08/04/2016
Last updated
09/17/2020
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